DN-1 Acupoints Flashcards

1
Q

ST5 Target Tissue

A

Superficial Masseter

Anterior aspect of the distal masseter/corner of the ramus

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2
Q

ST5 Location, Needle Orientation, and Depth

A

1 CUN anterior and superior from the mandibular angle

Parallel to the inferior border

Orientation - Perpendicular

Depth - 20-25mm

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3
Q

Measurement of 1/2 CUN

A

Index Finger

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4
Q

Measurement of 1 CUN

A

Thumb IP

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5
Q

Measurement of 1.5 CUN

A

2 Fingers

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6
Q

Measurement of 2 CUN

A

3 Fingers

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7
Q

Measurement of 3 CUN

A

4 Fingers

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8
Q

What is GV stand for?

A

Governing Vessel

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9
Q

What does BL stand for?

A

Bladder Line

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10
Q

What does GB stand for?

A

Gallbladder

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11
Q

What does TE stand for?

A

Triple Energizer

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12
Q

What does SI stand for?

A

Small Intestine

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13
Q

What does LV stand for?

A

Liver

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14
Q

What does KI stand for?

A

Kidney

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15
Q

What does ST stand for?

A

Stomach

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16
Q

What does LU stand for?

A

Lung

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17
Q

What does LI stand for?

A

Large Intestine

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18
Q

ST6 Target Tissue

A

Posterior Aspect of the Distal Masseter

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19
Q

ST6 Location, Needle Orientation, and Depth

A

1/2 CUN anterior and superior from the mandibular angle, parallel to the inferior border

Needle Orientation - Perpendicular

Depth - 20-25 mm

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20
Q

ST7 Target Tissue

A

Superficial - Deep Masseter

Deep - Medial and Lateral Pterygoid

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21
Q

ST7 Location, Needle Orientation, and Depth

A

1/2 CUN anterior to tragus, below (immediately inferior to) zygomatic arch

Needle Orientation:
Medial Pterygoid - 45 degrees inferior
Lateral Pterygoid - 45 degrees superior

Depth: 30-40mm

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22
Q

ST8 Target Tissue

A

Superior/Anterior Temporalis

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23
Q

ST8 Location, Needle Orientation, and Depth

A

Location: Superior to ST7 where the vertical and anterior hairline meet, 1 finger behind this (or worded as level with the top of the ear at the hairline)

Needle Orientation: Perpendicular (can angle superior to inferior to increase tissue grab)

Depth: 20-25mm

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24
Q

TaiYang Target Tissue

A

Temporalis (Anterior/Inferior)

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25
Q

TaiYang Location, Needle Orientation, and Depth

A

Location: 1/2 CUN lateral of the eye (AVOID orbit) over the zygomatic/sphenoid bones

Needle Orientation: Perpendicular

Depth: 10-15 mm

Precautions: Avoid pulse in this area

26
Q

GB2 Target Tissue

A

TMJ Posterior Capsule

Book - Peri-articular capsule of posterior TMJ

27
Q

GB2 Location, Needle Orientation, and Depth

A

Location: In divot, slightly superior to tragus
(Book - immediately anterior to the tragus and inferior to the zygomatic arch, within the depression created during mouth opening, immediately posterior to mandibular condyle)

Inferior to SI19 and TE21

Needle Orientation: Angled obliquely to get to the posterior aspect of the condyle (Superomedial)

Depth: 10-15 mm

28
Q

SI19 Target Tissue

A

TMJ Posterior Capsule

29
Q

SI19 Location, Needle Orientation, and Depth

A

Location: Slightly inferior to tragus in the divot.
-has an entry point slightly superior to GB2

Needle Orientation: Angled obliquely to get to the posterior aspect of the condyle (Book - superomedial, slightly anterior)

Depth: 10-15mm

30
Q

TE21 Target Tissue

A

TMJ Posterior Capsule

31
Q

TE21 Location, Needle Orientation, and Depth

A

Location: In the depression posterior to the mandibular condyle with the mouth open
-has an entry point slightly superior to SI19

Needle Orientation: Angled obliquely to get to the posterior aspect of the condyle (Book - medial, slightly anterior)

Depth: 10-15mm

32
Q

What acupoints are part of the TMJ protocol?

A
ST5
ST6
ST7
ST8
TaiYang
GB2
SI19
TE21
33
Q

Acupoints in the Medial Epicondyle Protocol

A

HT3 (modified)
AhShi 1
AhShi 2

34
Q

What does HT stand for?

A

Heart

35
Q

HT3 (modified) Target Tissue

A

Common Flexor Tendon

36
Q

HT3 (Modified) Location, Needle Orientation, and Depth

A

Location: 1 CUN distal and lateral to AhShi1 (Just distal and anterior to the cubital crease)

Needle Orientation: Perpendicular

Depth: 40-50mm

37
Q

AhShi 1 Target Tissue in Medial Epicondyle Protocol

A

CFT (Common Flexor Tendon) Teno-osseous Origin

38
Q

AhShi1 of the Medial Epicondyle Protocol Location, Needle Orientation, and Depth

A

Location: Distal and Anterior to the Medial Epicondyle at the site of discomfort. Periosteal Pecking can be done here.

Needle Orientation: Perpendicular avoiding the unlar nerve

Depth: 20-30mm

39
Q

AhShi2 Target Tissue in Medial Epicondyle Protocol

A

Flexor Carpi Radialis

40
Q

AhShi2 of Medial Epicondyle Protocol Location, Needle Orientation, and Depth

A

Location: 3 CUN distal and lateral to HT3

Needle Orientation: Perpendicular

Depth: 40-50mm

Precautions: Avoid deep needling in midline due to anterior interosseous artery and membrane (compartment syndrome)

41
Q

What points are part of the lateral epicondylitis protocol?

A
CET/AhShi1
LI4-5
LI8-10
LI11 (Modified)
LI12-13
LU5
42
Q

AhShi1 of Lateral Epicondylitis Protocol Target Tissue

A

Common Extensor Tendon, Teno-osseous Origin

43
Q

AhShi1 of Lateral Epicondylitis Protocol Location, Needle Orientation, and Depth

A

Location: Lateral epicondyle on the area of pain (can periosteal peck on bone). 1 CUN distal/anterior to the lateral epicondyle

Needle Orientation: Perpendicular (Book - A-P and slightly medial)

Depth: 30-40mm

44
Q

LI13 Target Tissue

A

Brachialis Muscle Belly

45
Q

LI13 Location, Needle Orientation, and Depth

A

Location: 3 CUN proximal (superior) of lateral epicondyle, immediately anterior to humerus (posterior to biceps brachii)

Needle Orientation: Lateral to Medial

Depth: 30-40mm

46
Q

LI12 Target Tissue

A

Brachioradialis, Extensor Carpi Radialis Longus Teno-osseous origin (Supraepicondylar Ridge)

47
Q

LI12 Location, Needle Orientation, and Depth

A

Location: 1 CUN (1 thumb) proximal (superior) of lateral epicondyle

Needle Orientation: Perpendicular

Depth: 30-40mm

48
Q

LI11 (Modified) Target Tissue

A

Common Extensor Tendon (CET)

49
Q

LI11 (Modified) Location, Needle Orientation, and Depth

A

Location: 1 CUN Distal/Anterior of the Radial Head

Needle Orientation: Perpendicular

Depth: 30-40 mm

Tip: Supinate and pronate to find radial head, then acitvely extend 3rd digit (ECRB) to confirm correct location. Also drawing a line from LI11 to the base of the 3rd metacarpal will line up the remaining LI points

50
Q

LI10 Target Tissue

A

Trigger Points in ECRB/L

51
Q

LI10 Location, Needle Orientation, and Depth

A

Location: 2 CUN Distal to LI11 (Modified)

Needle Orientation: Perpendicular

Depth: 30-40mm

52
Q

LI9 Target Tissue

A

Trigger Points in ECRB/L

53
Q

LI9 Location, Needle Orientation, and Depth

A

Location: 1 CUN Distal to LI10

Needle Orientation: Perpendicular

Depth 30-40mm

Note from Book: Superficial radial nerve sits just underneath the brachioradialis and on top of the supinator.

54
Q

LI8 Target Tissue

A

Trigger Points in ECRB/L

55
Q

LI8 Location, Needle Orientation, and Depth

A

Location: 1 CUN Distal to LI9

Needle Orientation: Perpendicular

Depth: 30-40mm

Note from book: Lateral antebrachial cutaneous nerve sits superficial and on top of brachioradialis

56
Q

LI5 Target Tissue

A

Extensor Pollicis Longus

57
Q

LI5 Location, Needle Orientation, and Depth

A

Location: In the anatomical snuffbox, under the dorsal tendon

Needle Orientation: 45 degrees, tucked under the extensor pollicis tendon

Depth: 10-15mm

58
Q

LI4 Target Tissue

A

1st Dorsal Interossei

59
Q

LI4 Location, Needle Orientation, and Depth

A

Location: Adduct the thumb and insert need in the muscle belly

Needle Orientation: Perpendicular

Depth: 10-15mm

60
Q

LU5 Target Tissue

A

Supinator

61
Q

LU5 Location, Needle Orientation, and Depth

A

Location: With the forearm pronated, it is deep to the extensor group. Thumb on cubital crease and sweep the extensors laterally.

Needle Orientation: Medial to Lateral on the Radial Head.

Depth: ??? There is a bony backdrop

Precaution: Do not go into the cubital fossa. Make sure you are needling towards the radius and not the humerus.